Nuance Dragon Medical eTIPS Newsletter

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Dragon^Ž Medical

March 2011, Volume 3, Number 3

Greetings!

Nuance is pleased to present you with this edition of eTIPS where you will find tips about:

eTIP 1: Applications that are published within Citrix use the "clipboard" in order to "transfer text" from the Dictation Box.

eTIP 2: Errors that may appear after installing Adobe Reader X and how to resolve these errors.

eTIP 3: How to add multiple dictation sources to your Dragon Medical Network Edition user profile.

eTIP 4: How to push out global options, administrative settings, and formatting for Dragon Medical Network Edition without the need to set each user profile or group settings within the Dragon Medical Nuance Management Console.

Save the date for Conversations Healthcare 2012. Click here to navigate to the article providing more information.

eTIPS

Did you know that applications published within Citrix use the "clipboard" in order to "transfer text" from the Dictation Box?

INTENDED AUDIENCE: Dragon Medical Users dictating to an application published within Citrix.

LEVEL: INTERMEDIATE

On occasion the when using Dragon Dictation Box to dictate into an application that is published through Citrix, the "transfer text" command may become unresponsive transferring no text or text from earlier in the session.

An example: Early in the day you dictated successfully for your patient, Susan Smith, 34 year old female. Currently you are dictating for your patient, Jeff Brown, a 53 year old male. Within the dictation box the information is displayed as expected but after issuing the "transfer text" command, the results of your previous dictation for Ms. Smith have been transferred instead to your current session with Mr. Brown.

Transferring text from the Dragon Dictation Box to a Citrix published application uses the Operating Systems clipboard functionality. Within Citrix it is possible to have the clipboard functionality become unresponsive. When the "buffer" is full it is unable to accept any new data.

Click the play button on the eTIPS Video image below to view a brief demonstration about the Citrix clipboard.

To fix this issue:

Download and copy the "Repair Clipboard Chain" utility from http://support.citrix.com/article/CTX107572 to the workstation experiencing the issue.
After the issue has occurred, launch the Repair Clipboard Chain application to restore the clipboard functionality.
Repeat your dictation into the dictation box and issue the "transfer text" command. You dictation should be transferring again without issue.
Additionally, to a allow yourself to recover more quickly, you may want to adjust the configuration of the Dictation Box. From the Dictation Box tab, change the following options:
- Enable the option "Keep transferred text in the clipboard"
- Disable the "Exit Dictation box after transferring text"
Finally, the following is a link to a Citrix article that may be helpful for your Citrix Administrator to more thoroughly troubleshoot the issue. http://support.citrix.com/article/CTX086028.

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Did you know, after installing Adobe Reader X you may get errors "Sendkeys_Cancelled" or "HOOKERR_NONOTIFY" when using select and say commands within Dragon or while correcting words?

INTENDED AUDIENCE: ALL USERS

LEVEL: BASIC

Upon initial use of Adobe Reader X you may get the following error:

"Adobe Reader has detected that you may be using Assistive Technology on your computer. While using Adobe Reader with Protected Mode enabled on Windows XP operating systems, some Assistive Technologies may not be able to read some document content. If you do encounter problems, turning off Protected Mode may help. This can be done by choosing Edit > Preferences > General and unchecking Enable Protected Mode at startup."

Disabling the Enable Protected Mode at startup seems to resolve or you can also remove Adobe Reader X and install an older version by going to http://get.adobe.com/reader/otherversions

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Did you know that you can add multiple dictation sources to your Dragon Medical Network Edition user profile?

INTENDED AUDIENCE: ALL USERS

LEVEL: BASIC

With Dragon Medical Enterprise Network Edition, you can add or remove a dictation source by enabling "Always display Open Profile dialog" option within the Dragon client. The "Always display Open Profile dialog" option is stored under the "Advanced" button on the "Dragon Login" screen. These are the steps on how to add a new dictation source:

Double click on Dragon Medical Client to bring up the login screen.
Click on Advanced and enable the Always display Open Profile dialog option.
Click OK to save the setting.
Enter your login name and password then press Log In.
Click on Source - New in the Open Profile window to add a new dictation source.
Click OK to complete the configuration.

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Did you know that you can push out global options, administrative settings, and formatting for Dragon Medical Network Edition without the need to set each user profile or group settings within the Dragon Medical Nuance Management Console?

INTENDED AUDIENCE: ADMINISTRATOR

LEVEL: ADVANCED

Perform the following steps to push out global options;

Log into the server where the Dragon Medical SDK Client is installed.
Open the Windows Command Prompt.
Change the directory to C:\Program Files\Nuance\NaturallySpeaking10\Program
Then one at a time, type in each of the switches below pressing the enter key after each:
These option sets are saved within the nsdefaults.ini file under the location:

C:\ProgramData\Nuance\Dragon SDK Client Edition10

In order for these settings to take effect, this new nsdefaults.ini file will need to be replaced by the original nsdefaults.ini file on each workstation where the Dragon Medical client is installed. The path to replace this file is: C:\Documents and Settings\All Users\Application Data\Nuance\NaturallySpeaking10